Mosc, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MOSC, LLC

Practice address

4611 E Shea Blvd
Suite 100
Phoenix, AZ 85028-4254

Phone

(602) 996-4713

Fax

(602) 795-6766

NPI assigned

Aug 22, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tamir Mosharrafa, M.D.

Title

Managing Partner

Phone

(602) 996-4713

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Listed as

Mosharrafa Outpatient Surgery CenterCCN 03C0001346

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• PDP of Texas, PLLC

  dba Advanced Dermasurgery Associates

  • Dermatology Physician
  • Dallas, TX
  • NPI 1629025739

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ali M Mosharrafa, MD

  • Plastic and Reconstructive Surgery Physician
  • Phoenix, AZ
  • NPI 1457303471
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1295015212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 E SHEA BLVD",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284254",
            "telephone_number": "602-996-4713",
            "fax_number": "602-795-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 E SHEA BLVD",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284254",
            "telephone_number": "602-996-4713",
            "fax_number": "602-795-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "MOSHARRAFA",
        "authorized_official_first_name": "TAMIR",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "602-996-4713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Morton, MD
• Shannon Morton, RBT
• Cristina M.G. Morue, MC, LPC, NCC
• Mosaic (Mosaic of the Southwest)
• Keikhosrow Mosallaie, DO
• Justinne Taylor Moschetti, MS
• Elvira Mosely, RN
• Barbara Moser, MD
• Linda Jean Moser, LMT CA
• Nerissa Moser

• Ambulatory Surgical Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.